顱外身體立體定位放射治療SBRT也被稱作光子刀

Stereotactic body radiation therapy (SBRT) safe and effective way to treat early stage lung cancer in medically inoperable patients

Stereotactic body radiation therapy safe and effective way to treat early stage lung cancer in medically inoperable patients

光田醫院的顱外身體立體定位影像導航放射治療(SBRT)使用瑞典斯德哥爾摩ELEKTA的頂尖產品，與影片中UCLA的設備有異曲同工之處

螺旋光子刀

Tomotherapy在台灣就有五種以上的翻譯

螺旋光子刀 = 導航螺旋刀 = 螺旋刀 = 螺旋光子刀系統 = 螺旋斷層放射治療儀 = 多模式螺旋斷層放射儀 = Tomotherapy = Helical tomotherapy

螺旋光子刀不是手術刀喔!以下的影片介紹螺旋光子刀的治療方式

國民健康局監製的超短教育片: 安寧療護 舒緩症狀

What to expect from your first mammogram? An introduction video from MD Anderson Cancer Center

乳房超音波----乳房腫瘤的診斷利器 All you would want to know about the Breast Ultrasound Examination

This video is part of the breast cancer education series produced by CancerQuest, (www.cancerquest.org). It is published online in the YouTube for public educational purposes.

Want to know what RADIOTHERAPY is? Here, I embed a useful video from NHS, UK

See what happens during radiotherapy treatment. An expert describes what happens and advises what questions to ask if you're referred for radiotherapy.

CHEMOTHERAPY, a video from NHS, UK.

A consultant medical oncologist explains the chemotherapy process and patients talk about their own experiences of the treatment.

化學治療後如何照護我們的神經及肌肉呢?

化學治療副作用要如何處理?

面對化學治療、建立正確的觀念

正因為時間有限，機會稍縱即逝......

Monitor: Taken your medicine? | The Economist

Monitor: Taken your medicine? | The Economist

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Palliative Care 2009: Combining The 10th APCC & The 8th APHC 有趣的海報

住宿，周圍環境，清晨的小店早餐和Perth市內免費公車

St John of God Murdoch社區安寧院的參訪，它跟Murdoch University無關，只是位置相近

The webpage of Murdoch Community Hospice

Perth的街景與建築，邊走邊拍，此城給人慵懶，隔離，漫活的感覺

遇見台灣蝴蝶蘭，出境前的邂逅

第十屆澳洲緩和照顧年會合併第八屆的亞太安寧緩和會議於2009 年9月24-27日在西澳珀斯(Perth)盛大舉行，開幕儀式 的Flag Ceremony，安年兄(黃安年醫師)舉著中華民國國旗穩健上台，場面令人動容。老郭我有幸能記錄下這一刻。國旗將在2:11從我座位那排出現，要把它看完喔。

If I'm not wrong, it is the oldest Christian church in Europe. Correct me in case to the contrary.

2006年10月1日我在伊斯坦堡參加歐洲腫瘤內科醫學會年會期間，把握機會飽賞這座全歐最古老的教堂喔。當年的Gala Dinner即設在據說是歐洲最古老的教堂內，大家都知道土耳其是伊斯蘭教的，能夠保留這座基督教堂實在是這座教堂的地位吧！我們在此歐洲最古老的教堂裡欣賞兩小時的知名交響樂團的演出，全場只有我這位台灣人。

Meet me in Perth, West Australia, late this month.

Hi, guys, I'm going to attend an International Palliative Care Conference held in Perth of West Australia between 23rd and 27th this month.
Wish I can meet up with you there. Telephone number the same.
Could someone tell me how to make the most from this trip since this is the first time for me in Perth?
I plan this trip early in this February. Before visiting a new city, I will buy a best seller novel either with a story surrounding this place or the author is closely attached to the city, trying to get a glimpse of or set up a good imaginative impression of the very city. For Perth, I've read the novel, Cloudstreet (1991) by Tim Winton. Frankly speaking, the novel is readable but to me, a little bit boring. Sorry to say that. Probably right before that novel, the previous one, The Secret Supper by Javier Sierra, was a automatic page-turner. Of course the story is nothing to do with Perth.
Shall I get a new copy with story surrounding Perth and interesting enough to be carried along the trip? Suggest one to me, please, if you could.
Anyway, see you.

The Eton Scale: a tool for risk assessment for constipation. | Practice | Nursing Times

The Eton Scale: a tool for risk assessment for constipation. | Practice | Nursing Times

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原來迷上連續劇也可協助診斷出乳癌

原來迷上連續劇也可協助診斷出乳癌。前天我的乳房外科同事轉來一位女性乳癌病人。她的媳婦陪在她身旁。我細問病人她是如何發現乳癌或者乳癌是怎樣被發現的呢?原來她是 娘家 這部連續劇的忠實觀眾，劇情中的一位女主角，請參見附圖中的家系和關係圖中名叫賴惠君的。我沒看這部戲，不過據民視娘家官網的網友留言，好像是賴惠君的先生有外遇，娘家是她永遠的靠山，後來又不幸罹患乳癌第二期。

我們這位病人也是看到劇中惠君自己觸摸到右乳房有腫塊，她也跟著自己觸摸看看，立即發現自己竟然也有如劇中的乳房腫塊。待劇中女主角進行切片，病理報告驚傳乳癌，我們這位病人也趕緊來本院就醫。巧合的是癌症分期同樣是第二期。

自己觸摸進行乳房檢查我們醫學上稱作BSE (Breast Self Examination)乳房自我檢查。如果接受醫護人員檢查稱作CBE (Clinical Breast Examination)臨床乳房檢查。在西方先進國，近年對於是否要鼓勵女性作BSE已有反對意見，主要是既引起女性焦慮又無太大存活差異等因素。

但是我的經驗是在台灣有很大比率的乳癌是因BSE發現的，所以在台灣應該要推廣BSE。

乳癌個人化醫療和量身訂「治」

每一位乳癌病患都是獨特個體，無論體質、病情、預後和患者對治療模式的自主選擇都不盡相同，醫師必須提供周密、嚴謹、和專屬的診療計畫，以提高治療效果，同時減少治療帶來的副作用，這就是所謂的量身訂「治」的個人化醫療。
個人化醫療也需要有高階的醫療設備和技術，光田醫院很榮幸宣布我們的乳癌團隊擁有專為乳癌患者量身訂治的技術和設備如：哨兵淋巴結生檢(SLNB)、高階正子電腦斷層(PET-CT)、乳房磁振照影(Breast MRI)、影像導引靶向放射治療(VMAT-IGRT)和癌症分子生物標記檢測(molecular biomarkers)等。我們的乳癌團隊中有乳房外科、專精乳癌內科治療的腫瘤內科、放射腫瘤科、核子醫學科醫師以及國內少有的、經驗豐富的哨兵淋巴結判讀的病理科醫師。
乳癌術後的復發風險評估必須正確，否則會導致「過度治療」或「治療不足」的後果，前者有可能產生不必要的時間浪費、承受不必要的副作用；後者則會造成癌症復發的後果。
如何防止過多或不足的治療呢？這其實有賴於團隊運作上的默契，與適時由各專家提供診治上的意見。現在正是體現癌症個人化醫療的時代，我們必須和患者站在同一陣線上迎接一切挑戰。